PMG Opco-Washington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PMG OPCO-WASHINGTON LLC

Doing business as

Booker T. Washington Skilled Nursing and Rehabilitation

Practice address

7605 Line Ave
Shreveport, LA 71106-5162

Phone

(318) 219-2608

Fax

(318) 861-7685

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Boulware

Title

Managing Member

Phone

(972) 428-0900

Specialties & licenses 1

Addresses

Other names 1

• BOOKER T. WASHINGTON SKILLED NURSING AND REHABILITATION Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184185654. Details of each certification follow.

• CCN 195615 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195615

Legal name

PMG OPCO-WASHINGTON LLC

Doing business as

BOOKER T. WASHINGTON SKILLED NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 3, 2004

Last certification

Apr 2, 2025

Beds

80

Ownership / control type

Partnership

Multi-facility organization

Priority Management

Most recent change of ownership

Apr 1, 2019

Organization structure

LLCProprietary

Enrollment address

7605 Line Ave
Shreveport, LA 71106-5162

Nursing home name

BOOKER T. WASHINGTON SKILLED NURSING AND REHABILITATION

Affiliated entity

PRIORITY MANAGEMENT

Listed as

Booker T. Washington Skilled Nursing and RehabilitCCN 195615 · All quality measures

Overall star rating

2 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Oct 3, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8072.9 residents per day on average

Chain

Priority Management38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mairus Taliaferro McFarland, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1114945656

  Adp of the SNF

  CMS ownership

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Dville Opco LLC

  dba Chateau D'Ville Rehab and Retirement

  • Skilled Nursing Facility
  • Donaldsonville, LA
  • NPI 1346956927

  Priority Management Group, LLC

  CMS ownership
• PMG Opco - Monroe LLC

  dba St. Joseph Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Monroe, LA
  • NPI 1134089972

  Priority Management Group, LLC

  CMS ownership
• PMG Opco - Springhill LLC

  dba Timber Springs Rehab and Retirement

  • Skilled Nursing Facility
  • Springhill, LA
  • NPI 1922892280

  Priority Management Group, LLC

  CMS ownership
• PMG Opco-Alpine LLC

  dba Alpine Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Ruston, LA
  • NPI 1073074647

  SDB Holdings

  CMS ownership
• PMG Opco-Bogalusa LLC

  dba Resthaven Living Center

  • Skilled Nursing Facility
  • Bogalusa, LA
  • NPI 1033658893

  Priority Management Group, LLC

  CMS ownership
• PMG Opco-Bradford LLC

  dba The Bradford Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1952862377

  Priority Management Group, LLC, SDB Holdings

  CMS ownership
• PMG Opco-Broussard LLC

  dba Camelot of Broussard

  • Skilled Nursing Facility
  • Broussard, LA
  • NPI 1326708439

  Priority Management Group, LLC

  CMS ownership
• PMG Opco-Colonial LLC

  dba Colonial Oaks Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Bossier City, LA
  • NPI 1124589544

  Priority Management Group, LLC, Progressive Rehab Solutions, LLC, SDB Holdings

  CMS ownership
• PMG Opco-Guest House LLC

  dba The Guest House Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1184185506

  Priority Management Group, LLC, SDB Holdings

  CMS ownership
• PMG Opco-Jennings LLC

  dba Camelot Brookside

  • Skilled Nursing Facility
  • Jennings, LA
  • NPI 1952061061

  Priority Management Group, LLC

  CMS ownership
• PMG Opco-Lafayette LLC

  dba Camelot Rehabilitation at Magnolia Park

  • Skilled Nursing Facility
  • Lafayette, LA
  • NPI 1689334799

  Priority Management Group, LLC

  CMS ownership
• PMG Opco-Pilgrim LLC

  dba Pilgrim Manor Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Bossier City, LA
  • NPI 1669933081

  Priority Management Group, LLC, SDB Holdings

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Taylor Guidry, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1700143237
  NPD (past)
• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745
  NPD (past)
• Mairus Taliaferro McFarland, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1114945656
  NPD (past)
• Kirit S Patel, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Shreveport, LA
  • NPI 1477512309
  NPD (past)
• David Juston Colvin, M.D.

  • Family Medicine Physician
  • Shell Lake, WI
  • NPI 1023010592
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Paul Taylor Guidry, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1700143237

  Nursing home

  Care Compare affiliation
• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745

  Nursing home

  Care Compare affiliation
• Mairus Taliaferro McFarland, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1114945656

  Nursing home

  Care Compare affiliation
• Kirit S Patel, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Shreveport, LA
  • NPI 1477512309

  Nursing home

  Care Compare affiliation
• Cody Tingle, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1699031237

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1184185654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065162",
            "telephone_number": "318-219-2608",
            "fax_number": "318-861-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065162",
            "telephone_number": "318-219-2608",
            "fax_number": "318-861-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG OPCO-WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-428-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOOKER T. WASHINGTON SKILLED NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PMG Opco-Bradford LLC (The Bradford Skilled Nursing and Rehabilitation)
• PMG Opco-Guest House LLC (The Guest House Skilled Nursing and Rehabilitation)
• PMG Opco-Shreveport LLC (Shreveport Manor Skilled Nursing and Rehabilitation)
• PMG Opco-Springlake LLC (The Gables at Springlake)
• PMG Opco-Springlake LLC (Spring Lake Skilled Nursing and Rehabilitation)
• Arthur L Poch, M.D.
• Colby Pogue
• Aimie Pohl, AGACNP-BC
• Melisa Bell Poindexter
• Point of Grace Medical Services LLC

• Skilled Nursing Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.